Above average — CMS composite of the measures below.
The next survey window likely opens around April 2027
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Henry Rehab And Nursing during CMS and state inspections, most recent first.
Resident Council grievances were not promptly resolved for multiple residents. Residents reported repeated unresolved concerns about meal quality and portions, limited snacks, cold food, missing condiments, call light response, housekeeping, laundry, and staff not assisting with toileting or water requests. Facility records and council minutes showed the same issues recurring over several months, and the administrator acknowledged the need for departments to work together on grievances.
A resident with a dysphagia diet and aspiration precautions was observed eating breakfast in a room without staff supervision, despite a care plan calling for supervision with eating and monitoring for swallowing difficulty. The resident was seen consuming eggs, oatmeal, toast, and milk alone, and the DON stated that residents on dysphagia diets should be with staff during meals so they can be monitored for choking.
Three residents with ESBL infections requiring Contact Precautions did not have care plans that addressed transmission-based precautions or identified ESBL as the causative organism. Although physician orders and room signage indicated the need for Contact Precautions, the care plans either omitted this information or listed incorrect interventions. Facility leadership confirmed these omissions and acknowledged the lack of a care plan coordinator at the time.
Two residents who were identified as smokers kept cigarettes and lighters in their personal possession or in their room, contrary to facility policy requiring these items to be stored at the nurse's station. Neither resident had signed a required smoking agreement, and staff confirmed that the smoking supplies were not secured as per policy.
A resident receiving hospice services did not have a hospice-created care plan or communication notes available in their record, and there was no written designation of a facility hospice coordinator. Staff confirmed that the hospice company had not been providing communication notes, and required documentation was missing from both the nurse's station and electronic records.
Resident Council Grievances Not Resolved in a Timely Manner
Penalty
Summary
The facility failed to promptly respond to and resolve Resident Council concerns for five residents reviewed for Resident Council issues. The facility’s grievance policy required prompt resolution of medical and non-medical grievances, follow-up within 72 hours, written grievance decisions, and notification if a grievance could not be resolved within 30 calendar days. Facility records showed repeated unresolved concerns in Resident Council minutes and grievance reports over several months, including complaints about response times to grievances, meal quality and portions, cold food, missing condiments, call light response, housekeeping, laundry, and nursing attentiveness. During the resident council meeting, five residents stated that dietary concerns were not being addressed or corrected. They reported that meal portions were too small, meat was too hard to cut, snacks were limited to graham crackers and peanut butter crackers, and no pudding, yogurt, or milk was served with snacks. One resident stated that when asking for peanut butter crackers, the dietary manager said only one could be given. The residents also stated that concerns had been voiced repeatedly at multiple meetings and remained unresolved, including the kitchen running out of crackers for soup and being served graham crackers instead of saltines. The same residents reported ongoing concerns with cold meals, soup and lettuce being served as dinner, room trays being cold after smoking breaks, and call lights being answered and shut off without assistance. They also reported staff saying they were too busy or understaffed to help with toileting or water requests. Additional concerns included linens not being changed on bath days, soiled bedding not being changed when requested, and a resident’s bed linens containing visible debris and food crumbs. The administrator stated that the facility may need to work on getting all departments on board and working together on grievances and that improvements were needed so the same issues would not keep recurring.
Failure to Supervise Resident on Dysphagia Diet During Meals
Penalty
Summary
The facility failed to follow a care-planned dysphagia diet intervention and to monitor and supervise one resident identified for diet-related precautions. The facility’s Aspiration Precautions Policy states that residents at risk for aspiration are to have interventions reflected in the plan of care, be placed on aspiration precautions, and be in view of staff for meals and nourishments unless otherwise specified. R7’s care plan documented a regular diet with dysphagia advanced texture, aspiration precautions related to diet texture alteration and dysphagia, swallowing difficulty, and supervision with eating, along with instructions to monitor, document, and report signs such as difficulty swallowing, prolonged swallow time, repeated swallows, coughing, throat clearing, drooling, or pocketing food. During observation, R7 was seen eating breakfast in a bedside chair in the room without staff present or monitoring. The meal included scrambled eggs with cheese, oatmeal, toast, and milk. R7 remained unsupervised while consuming the breakfast tray, and when asked, stated that the breakfast was cold and could not verify that a staff member had been monitoring the meal. The DON stated that a resident with a dysphagia diet should be with a staff member while eating so they can be monitored for choking.
Failure to Develop Comprehensive Care Plans for Residents on Contact Precautions
Penalty
Summary
The facility failed to develop comprehensive care plans addressing transmission-based precautions for three residents who required Contact Precautions due to ESBL (Extended Spectrum Beta Lactamase Resistance) infections. Specifically, the care plans for these residents did not include a focus or problem area for Contact Isolation, nor did they identify ESBL as the organism necessitating these precautions. Observations confirmed that Contact Precaution signage was posted on the doors of the affected residents' rooms, and physician orders indicated the need for such precautions. However, the care plans either omitted this information entirely or incorrectly listed the type of precautions in place. The residents involved had significant medical histories, including urinary tract infections, urinary incontinence, and other genitourinary conditions associated with ESBL. Despite the presence of physician orders and visible signage indicating the need for Contact Precautions, the care plans did not reflect these requirements. Facility leadership, including the Administrator and Assistant Director of Nursing/Infection Preventionist, acknowledged that the care plans should have included the appropriate problem areas and interventions for transmission-based precautions. At the time of the survey, the facility did not have an MDS/Care Plan Coordinator.
Failure to Secure Smoking Materials and Obtain Smoking Agreements
Penalty
Summary
The facility failed to follow its own smoking policy and procedures for two residents who were identified as smokers. Both residents were observed keeping cigarettes and lighters in their personal possession or in their room, rather than having these items stored at the nurse's station as required by facility policy. Interviews with the residents confirmed that they kept their smoking materials either on their person or in a nightstand drawer, and direct observation by surveyors corroborated these statements. Additionally, staff confirmed that the smoking supplies were not at the nurse's station and acknowledged that they should have been kept there. Further review revealed that neither resident had signed a smoking agreement upon admission, despite the facility's policy requiring such agreements as part of the admission process and whenever a resident's smoking status changes. The administrator confirmed that the smoking agreement form was added when the policy was revised, but it had not yet been implemented for the current smokers. Both residents had care plans and assessments indicating their smoking status and the need for their smoking materials to be stored securely, but these procedures were not followed in practice.
Failure to Provide Hospice Care Plan, Communication Notes, and Coordinator Designation
Penalty
Summary
The facility failed to provide required hospice documentation and coordination for one resident receiving hospice services. Specifically, the facility did not have a hospice-created care plan available at the nurse's station or in the resident's electronic medical record, as required by both facility policy and the agreement with the contracted hospice agency. Additionally, hospice communication notes were not present in the designated binders or the electronic record, and staff confirmed that the hospice company had not been leaving these notes for an extended period. Furthermore, there was no written designation of a facility hospice coordinator, which is necessary for ensuring proper coordination of hospice care. These deficiencies were identified during interviews with facility staff, who were unable to locate the required documents or identify a designated hospice coordinator in writing. The findings pertain to one resident out of three reviewed for hospice services in a sample of 22.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Henry
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Lacon Rehab And Nursing | 6.4 mi | ★★★★★ | 7 | 1 |
| Goldwater Care Toluca | 13.9 mi | ★★★★★ | 4 | 0 |
| Arc At Chillicothe | 16.1 mi | ★★★★★ | 13 | 0 |
| Goldwater Care Spring Valley | 17.7 mi | ★★★★★ | 1 | 0 |
| Goldwater Care Princeton | 18.2 mi | ★★★★★ | 1 | 0 |
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